Provider Demographics
NPI:1457927741
Name:NDIAYE, SIDY
Entity Type:Individual
Prefix:
First Name:SIDY
Middle Name:
Last Name:NDIAYE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3346 NOE BIXBY RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-6056
Mailing Address - Country:US
Mailing Address - Phone:614-377-3007
Mailing Address - Fax:
Practice Address - Street 1:3346 NOE BIXBY RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-6056
Practice Address - Country:US
Practice Address - Phone:614-377-3007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health